| Q1 Age: |
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<25 yrs (1)
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26–35 yrs (2)
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36–45 yrs (3)
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46–55 yrs (4)
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56 yrs (5)
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| Q2 Gender: |
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| Q3 Professional degree: |
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| Q4 In what geographical area did you grow up? |
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| Q5 Please indicate your level of post-graduate training (please select all that apply)? |
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| Q6 How would you describe the pharmacy in which you currently work? |
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Independent pharmacy (less than 4 stores) (1)
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Small chain pharmacy (5–1000 stores) (2)
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Intermediate chain pharmacy (1001–5000 stores) (3)
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Large chain pharmacy (more than 5000 stores) (4)
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Other (5)
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| Q7 How many years have you been practicing independently (i.e., since you completed post-graduate training if applicable) |
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0–3 years (1)
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4–6 years (2)
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7–10 years (3)
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11–20 years (4)
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21 years or more (5)
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| Q8 What geographical region is your work institution? |
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Midwest (1)
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Northeast (2)
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Northwest (3)
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Southeast (4)
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Southwest (5)
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Other (6)
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| The following questions refer to your knowledge of kratom: |
| Q9 Have you heard of kratom before? |
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| Q10 If you have heard of kratom before, from where or whom did you hear about it? |
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Pharmacy or medical school curriculum (1)
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Continuing education article/program (2)
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Pharmacist (3)
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Scientific/medical literature (4)
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Lay-press article or news (5)
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| Q11 How would you rate your overall knowledge of kratom? |
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| Q12 How confident are you that you could list common reasons why people take kratom? |
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Not at all confident (1)
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Not very confident (2)
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Neutral (3)
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Confident (4)
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Very confident (5)
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| Q13 How confident are you that you could describe the clinical effects of kratom? |
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Not at all confident (1)
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Not very confident (2)
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Neutral (3)
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Confident (4)
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Very confident (5)
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| Q14 How confident are you that you could describe the legal issues surrounding kratom? |
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Not at all confident (1)
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Not very confident (2)
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Neutral (3)
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Confident (4)
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Very confident (5)
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| Q15 Has a patient or acquaintance ever asked you about kratom? |
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| Q16 Have you ever read an article about kratom in a scientific or medical journal? |
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| Q17 Have you ever read an article in the lay press about kratom? |
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| Q18 Have you ever heard of mitragynine or 7-hydroxymitragynine? |
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| Q19 Are you aware of how kratom is typically ingested (i.e., swallowed, inhaled, injected, etc.)? |
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